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A Study to Evaluate Safety and Effectiveness of Bevacizumab in Combination With Paclitaxel and Cisplatin/Carboplatin or Toptecan in Participants With Advanced Cervical Cancer

15. marts 2018 opdateret af: Hoffmann-La Roche

Retrospective Multicenter Observational Study to Evaluate Safety and Effectiveness of Bevacizumab (Avastin®) in Combination With Paclitaxel and Cisplatin/Carboplatin or Toptecan in Patients With Advanced Cervical Cancer

This study will evaluate the safety of bevacizumab (Avastin®) combined with standard chemotherapy in participant with advanced cervical cancer, with special focus on the incidence of gastrointestinal (GI) and genitourinary (GU) fistulas and GI perforations in the common practice setting.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Undersøgelsestype

Observationel

Tilmelding (Faktiske)

84

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

      • Buenos Aires, Argentina, 1437
        • Hospital General de Agudos J. A. Penna ; Breast Pathology
      • Buenos Aires, Argentina, B1650
        • Instituto Ángel H. Roffo - Universidad de Buenos Aires
      • Chaco, Argentina
        • Hospital Julio C. Perrando
      • Ciudad Autonoma de Buenos Aires, Argentina, 1425
        • Hospital General de Agudos Juan Antonio Fernandez
      • Jujuy, Argentina
        • Hospital Pablo Soria
      • La Rioja, Argentina, F5300COE
        • Centro Oncologico Riojano Integral (CORI)
      • Lomas de Zamora, Argentina
        • Hospital Interzonal General De Agudos "Luisa C. de Gandulfo"
      • Mar Del Plata, Argentina, 7600
        • Hospital Privado de Comunidad; Oncology
      • Rosario, Argentina, S2002KDS
        • Hosp Provincial D. Centenarios; Oncology Dept
      • Rosario, Argentina
        • CENICLAR
      • San Luis, Argentina
        • Policlínico regional de San Luis
      • San Miguel de Tucuman, Argentina, T4000IAK
        • Centro Medico San Roque

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Kvinde

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

Participants with advanced cervical cancer (metastatic, recurrent or persistent) who have received treatment with bevacizumab from 01 January 2015 to 01 January 2016 will be observed.

Beskrivelse

Inclusion Criteria:

  • Age 18 or older
  • Diagnosis of primary stage IVB, recurrent or persistent squamous cell carcinoma, adenosquamous carcinoma, or adenocarcinoma of the cervix which is not amenable to curative treatment with surgery and/or radiation therapy
  • Retrospective clinical decision made to initiate therapy with bevacizumab (Avastin®) combined with standard chemotherapy (cisplatin or carboplatin or topotecan and paclitaxel) between 01 January 2015 and 01 January 2016
  • All participants must have received at least one dose of bevacizumab combined with standard chemotherapy between 01 January 2015 and 01 January 2016 AND have at least 12 months of documented follow up, from treatment start, unless died or lost to follow up within the minimum study entry follow up period
  • Availability of documentation of for advanced cervical cancer (including prior treatment as applicable) and follow up in the participant's medical records

Exclusion Criteria:

  • Participation during the study period in an interventional clinical trial or any other interventional study that may impact advanced cervical cancer outcome
  • Participants who have received prior therapy with any anti-VEGF drug, including bevacizumab

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Intervention / Behandling
Bevacizumab
Participants with advanced cervical cancer (metastatic, recurrent or persistent) who have received treatment with bevacizumab from 01 January 2015 to 01 January 2016 (retrospective and independent from this study) combined with standard chemotherapy (cisplatin/carboplatin or topotecan and paclitaxel) will be observed.
This was an observational study.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Percentage of Participants With Gastrointestinal (GI) and Genitourinary (GU) Fistulas and GI Perforations
Tidsramme: Up to 12 months
Participants with GI and GU fistulas and GI perforation events will be reported according to Common Terminology Criteria for Adverse Events (CTCAE V4.0).
Up to 12 months

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Percentage of Participants who Received Radiotherapy Prior to GI and GU Fistulas and GI Perforation Events
Tidsramme: Up to 12 months
Participants who received radiotherapy prior to GI and GU fistulas and GI perforation events will be reported.
Up to 12 months
Percentage of Participants who Received Internal, External and Other Radiotherapy
Tidsramme: Up to 12 months
Participants who received internal, external and other radiotherapy will be reported. External radiotherapy will include "Non Precision Orientated" that includes classic cobalt or "Precision Orientated" that includes Linear accelerator.
Up to 12 months
Number of Doses of Prior Radiotherapy
Tidsramme: Up to 12 months
Doses of prior radiotherapy will be reported.
Up to 12 months
Percentage of Participants With Selected Adverse Events of Special Interest (AESIs)
Tidsramme: Up to 12 months
Adverse events of special interest (AESI) for this study included: hypertension, proteinuria, wound healing complication, bleeding /haemorrrhage (including pulmonary haemorrhage and CNS bleeding), arterial and venous thromboembolic events (ATES; VTES), congestive heart failure (CHF), posterior reversible encephalopathy syndrome (PRES), fistula/abscess (other than genitourinary and gastrointestinal), gastrointestinal perforations and gallbladder perforation.
Up to 12 months
Overall Response Rate (ORR)
Tidsramme: Up to 12 months
Overall response rate was defined as the percentage of participants who had confirmed complete response (CR) or partial response (PR). CR is defined as disappearance of all target and non-target lesions. PR is defined as at least a 30% decrease in the sum of longest dimensions (LD) of all target measurable lesions taking as reference the baseline sum of LD. There can be no unequivocal progression of non-target lesions and no new lesions. In the case where the only target lesion is a solitary pelvic mass measured by physical exam, which is not radiographically measurable, a 50% decrease in the LD is required.
Up to 12 months
Progression Free Survival (PFS)
Tidsramme: Up to 12 months
PFS is defined as the time from the first dose of treatment to the first occurrence of progression, or death from any cause as assessed by the investigator. Progressive disease (PD): at least a 20% increase in the sum of LD target lesions taking as reference the smallest sum LD recorded since study entry.
Up to 12 months
Overall Survival (OS)
Tidsramme: Up to 12 months
OS is defined as the time from the first dose of treatment to death from any cause.
Up to 12 months

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

6. april 2017

Primær færdiggørelse (Faktiske)

20. december 2017

Studieafslutning (Faktiske)

20. december 2017

Datoer for studieregistrering

Først indsendt

2. marts 2017

Først indsendt, der opfyldte QC-kriterier

2. marts 2017

Først opslået (Faktiske)

7. marts 2017

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

16. marts 2018

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

15. marts 2018

Sidst verificeret

1. marts 2018

Mere information

Begreber relateret til denne undersøgelse

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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